Individual
MR. LARRY JAMES MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1015 ALABAMA ST, VIDALIA, LA 71373-2612
(318) 336-7180
Mailing address
1015 ALABAMA ST, VIDALIA, LA 71373-2612
(318) 336-7180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9716
LA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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